Michael Bruce Lisman

NPI #1972080166 in Salinas, California

Provider Information

NPI Number: 1972080166
Entity Type: Individual
Name: Michael Bruce Lisman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 20, 2018
Last Updated: Jul 20, 2018

Practice Location

Address: 1270 NATIVIDAD RD
City: Salinas
State: California
ZIP Code: 93906-3144
Phone: (831) 755-4708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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